@layout("/backend/common/_container.html"){
<div class="dhcc-form">
    <form method='post' id="labVisitInfoForm" name="labVisitInfoForm" enctype="multipart/form-data">
	
        <#Hidden id="id" value="${labVisit.id}"/>

		<#Input id="episodeId" name="就诊记录" value="${labVisit.episodeId}"/>
		<#Input id="xcode" name="索引码" value="${labVisit.xcode}"/>
		<#Input id="specVisitNum" name="检验号|标本号" value="${labVisit.specVisitNum}"/>
		<#Input id="specimen" name="标本" value="${labVisit.specimen}"/>
		<#Input id="labLocId" name="申请科室|送检科室" value="${labVisit.labLocId}"/>
		<#Input id="labWardId" name="申请病区|送检病区" value="${labVisit.labWardId}"/>
		<#DateTime id="colDate" name="采集日期" value="${labVisit.colDate}"/>
		<#Input id="colUserName" name="采集人" value="${labVisit.colUserName}"/>
		<#DateTime id="recDate" name="接收日期" value="${labVisit.recDate}"/>
		<#Input id="recUserName" name="接受人" value="${labVisit.recUserName}"/>
		<#Input id="dataId" name="元数据" value="${labVisit.dataId}"/>
		<#Input id="isActive" name="是否有效" value="${labVisit.isActive}"/>
        <div class="toolbar">
        	<#Button name="保存" id="ensure" icon="icon-w-save" clickFun="LabVisitInfoDlg.editSubmit()"/>
        	<#Button btnCss="l-bt-red" name="关闭" id="cancel" icon="icon-w-close" clickFun="LabVisitInfoDlg.close()"/>
        </div>
    </form>
</div>
<script src="${ctxPath}/static/backend/cdc/labvisit/labvisit_info.js"></script>
@}
